3M伤口敷料在腹膜透析导管出口中的应用  

Application of 3M wound dressing in peritoneal dialysis catheter outlet

作　　者：何秀娟[1] 李晶[1] 张斯杏[1] HE Xiu-juan;LI Jing;ZHANG Si-xing(Department of Nephrology,Shenzhen Second People's Hospital,Shenzhen 518000,Guangdong,CHINA)

机构地区：[1]深圳市第二人民医院肾内科

出　　处：《海南医学》2019年第16期2163-2166,共4页Hainan Medical Journal

基　　金：广东省深圳市科技计划项目(编号：201401023)

摘　　要：目的研究3M伤口敷料在腹膜透析导管出口中的应用效果。方法选取2017年1月至2018年12月在深圳市第二人民医院肾内科进行腹膜透析的100例患者进行研究。按照随机数表法将患者分为观察组和对照组,每组50例。对照组患者的隧道管口给予无菌纱布护理,观察组患者的隧道管口给予3M伤口敷料护理。比较两组患者出院前的感染控制情况、治愈时间、换药次数、治愈率、疼痛情况以及不良反应情况。结果观察组患者护理第7天的感染控制率为90.0%,明显高于对照组的70.0%,差异有统计学意义(P<0.05);观察组患者的隧道管口愈合时间为(13.14±1.92)d,明显短于对照组的(19.32±2.08)d,差异有统计学意义(P<0.05);观察组患者的换药次数为(12.25±1.40)次,明显少于对照组的(28.97±2.26)次,差异有统计学意义(P<0.05);观察组患者的治愈率为96.0%,明显高于对照组患的84.0%,干预后疼痛控制率为90.0%,明显高于对照组的60.0%,差异均有统计学意义(P<0.05);观察组患者的红肿、疼痛及渗液等不良反应总发生率为16.0%,明显低于对照组的56.0%,差异有统计学意义(P<0.05)。结论3M伤口敷料配合护理干预能够有效控制腹膜透析患者隧道管口的感染情况,缩短敷料应用及护理时间,减少换药次数,值得推广应用。Objective To study the effect of 3M wound dressing on peritoneal dialysis catheter outlet.Methods A total of 100 patients,who underwent peritoneal dialysis from January 2017 to December 2018 in Department of Nephrology,Shenzhen Second People's Hospital were selected for the study.According to random number table method,the patients were divided into the observation group and control group,with 50 cases in each group.The control group received sterile gauze nursing at the tunnel orifice,while the observation group received 3M wound dressing nursing at the tunnel orifice.The infection control,cure time,dressing change times,cure rate,pain and adverse reactions before discharge were compared between the two groups.Results The infection control rate of the observation group on the 7th day of nursing was 90.0%,which was significantly higher than 70.0%of the control group(P<0.05).The healing time of the tunnel orifice in the observation group was(13.14±1.92)d,significantly shorter than(19.32±2.08)d in the control group(P<0.05).The number of dressing changes in the observation group was 12.25±1.40,which was significantly less than 28.97±2.26 in the control group(P<0.05).The cure rate of the observation group was 96.0%,which was significantly higher than 84.0%of the control group(P<0.05).The number of pain control cases in the observation group was 90.0%,which was significantly higher than 60.0%in the control group(P<0.05).The total incidence of adverse reactions such as swelling,pain and exudation was 16.0%in the observation group,which was significantly lower than 56.0%in the control group(P<0.05).Conclusion 3M wound dressing combined with nursing intervention can effectively control the infection of tunnel orifice in peritoneal dialysis patients,shorten the application of dressing and nursing time,and reduce the number of dressing changes,which is worthy of popularization and application.

关 键 词：腹膜透析 3M伤口敷料 导管出口 感染 护理 效果 

分 类 号：R472.9[医药卫生—护理学]